Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each
SAN ANTONIO, TX
See all hospitals reporting CPT 86053 →Price type
Metropolitan Methodist’s median price of $38 is 5% below the median hospital's median price ($40), higher than 16% of the 1,959 hospitals reporting CPT 86053. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 52 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna Better Health chip fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Aetna Better Health chipepo fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 3 | Aetna Better Health chipperinate fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Aetna Better Health chpfc fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Aetna Better Health star fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 6 | Aetna Better Health star+plus fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 7 | Aetna Better Health starkids fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 8 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 9 | UnitedHealthcare charter fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 10 | UnitedHealthcare nexusaco fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 11 | UnitedHealthcare smallgroup fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 12 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 13 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 14 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 15 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 16 | Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 17 | Blue Cross Blue Shield ppo fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 18 | Healthcare Highways narrownetwork fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 19 | First Health chip fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 20 | First Health chipperinate fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 21 | First Health mcdstar fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 22 | UnitedHealthcare mcd fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 23 | First Health mcdstarkids fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 24 | First Health starplus fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 25 | Molina chip fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
Last updated: May 1, 2026
See Aquaporin-4 antibody test by flow cytometry pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.